Senior Software Engineer
About This Role
Aligned Marketplace is a mission-driven B2B2C company transforming how self-insured employers connect their plan members to advanced primary care. Our platform helps employers reduce healthcare costs by up to 15% while improving outcomes for high-risk members, a rare win-win in healthcare innovation.
We’re looking for a Senior Software Engineer to help build and scale the data and backend systems that power Aligned’s marketplace. This is a hands-on role for an engineer who thrives on writing clean, performant code, bringing structure and reliability to fast-moving projects, and solving complex data problems.
A unique opportunity: We've built strong foundations using modern data engineering tools (Snowflake, Dagster, dbt) and are now transitioning to full-scale application development. You'll have significant influence in shaping our technical architecture and selecting the right tools and frameworks as we scale.You’ll join a small but growing technical team with significant autonomy to identify problems, design solutions, and implement them end-to-end. If you’re energized by building reliable, scalable software that improves real-world health outcomes, this role offers a meaningful opportunity to make an impact.
Your responsibilities will include
- Design, develop, and maintain backend systems using Python / Node.js
- Architect efficient data flows, optimize complex queries, and design scalable schemas for high-volume data
- Drive technical decisions on frameworks, tools, and infrastructure as we scale our platform
- Build and optimize data pipelines and integrations with healthcare data sources
- Implement robust data security practices to ensure compliance and protect sensitive information
- Contribute to the architecture and scalability of our core platform
- Take ownership of projects from concept to implementation, emphasizing autonomy and accountability
- Collaborate closely with product and data teams to deliver new features and improvements
- Conduct thoughtful code reviews and mentor teammates on best practices
- Maintain the high engineering standards essential for healthcare, ensuring accuracy in patient outcomes and payment processing while maintaining HIPAA compliance
Skills we look for
- 4+ years of professional software engineering experience
- Bachelor’s degree in Computer Science or related field
- Strong experience with relational databases (PostgreSQL preferred), including query optimization, schema design, and data modeling
- Proficiency with Python
- Experience with data security best practices and compliance requirements
- NYC-based or able to commute 2–3 days per week
- Strong attention to detail and commitment to high-quality work
- Proven ability to work independently and solve ambiguous problems
- Excitement about helping define technical direction in a growing engineering organization
Bonus Points for:
- Experience with data pipelines / ETL (e.g., Fivetran, dbt, Snowflake, Dagster)
- Previous experience in health tech or healthcare data systems
- Experience with containerization (Docker, Kubernetes) and CI/CD pipelines
- Familiarity with observability and monitoring tools
- Exposure to startup environments
Our Engineering Values
Ship quality code, communicate openly, and support your teammates. Getting things right for patients, providers, and payments doesn't mean sacrificing team culture,
How we work
- We think win-win-win. We are transparent and assume positive intent. We believe highly engaged team members lead to great product and highly engaged customers, which lead to great investors returns.
- We have a growth mindset. We are continuously learning. We have strong opinions, loosely held. We listen first as a means to understand.
- We keep our commitments. We do what we said we were going to do. We have urgency in pursuing our mission.
- We have a bias towards action and are proactive in moving the industry forward.
Our cultural attributes
Respect, Hard working, Humble, Ownership
Our benefits
- Comprehensive health insurance and 401(k)
- Meaningful equity in a fast-growing health tech company
- Competitive PTO policy
- Collaborative, mission-driven team culture